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Current validity of AHRQ clinical practice guidelines
| Current validity of AHRQ clinical practice guidelines |
| Autore | McDonald Kathryn M |
| Pubbl/distr/stampa | [Place of publication not identified], : U S Dept of Health and Human Services Public Health Service Agency for Healthcare Research and Q, 2002 |
| Descrizione fisica | 1 online resource |
| Disciplina | 368.4/26/00973 |
| Collana | Technical review Determinants of increases in Medicare expenditures for physicians' services |
| Soggetto topico |
Medicare
Physician services utilization Medical fees Costs and Cost Analysis Legislation as Topic Delivery of Health Care Insurance, Health Medical Assistance Insurance Public Assistance Health Care Quality, Access, and Evaluation Social Control, Formal Economics Financing, Government Financing, Organized Health Care Economics and Organizations Health Care Health Expenditures Public Health Health & Biological Sciences Medical Care Plans Guidelines as Topic Medicine Quality Assurance, Health Care Health Occupations Quality of Health Care Disciplines and Occupations Health Services Administration Clinical Medicine Practice Guidelines as Topic Internal Medicine Health facilities - Safety measures Risk Management Organization and Administration Quality Indicators, Health Care Safety Management Hospitals & Medical Centers |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910694035803321 |
McDonald Kathryn M
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| [Place of publication not identified], : U S Dept of Health and Human Services Public Health Service Agency for Healthcare Research and Q, 2002 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Medicare Laboratory Payment Policy [[electronic resource]] : Now and in the Future
| Medicare Laboratory Payment Policy [[electronic resource]] : Now and in the Future |
| Autore | Dianne Miller Wolman |
| Pubbl/distr/stampa | Washington, DC, USA, : National Academies Press, 2000 |
| Descrizione fisica | 1 online resource (261 p.) |
| Soggetto topico |
MEDICAL
Medicaid & Medicare Medical care, Cost of - United States Medicare - Evaluation Pathological laboratories - United States - Prospective payment Medicare Prospective Payment System Clinical Laboratory Techniques Insurance, Health Medical Assistance Reimbursement Mechanisms Investigative Techniques Legislation as Topic Public Assistance Insurance, Health, Reimbursement Insurance Social Control, Formal Health Care Economics and Organizations Financing, Organized Financing, Government Economics Health Care Medical Care Plans Public Health Health & Biological Sciences |
| ISBN |
0-309-18361-8
1-280-18522-8 9786610185221 0-309-56498-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910778608703321 |
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Dianne Miller Wolman
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| Washington, DC, USA, : National Academies Press, 2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Medicare Laboratory Payment Policy : Now and in the Future
| Medicare Laboratory Payment Policy : Now and in the Future |
| Autore | Dianne Miller Wolman |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Washington, DC, USA, : National Academies Press, 2000 |
| Descrizione fisica | 1 online resource (261 p.) |
| Soggetto topico |
MEDICAL
Medicaid & Medicare Medical care, Cost of - United States Medicare - Evaluation Pathological laboratories - United States - Prospective payment Medicare Prospective Payment System Clinical Laboratory Techniques Insurance, Health Medical Assistance Reimbursement Mechanisms Investigative Techniques Legislation as Topic Public Assistance Insurance, Health, Reimbursement Insurance Social Control, Formal Health Care Economics and Organizations Financing, Organized Financing, Government Economics Health Care Medical Care Plans Public Health Health & Biological Sciences |
| ISBN |
0-309-18361-8
1-280-18522-8 9786610185221 0-309-56498-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Medicare Laboratory Payment Policy -- Copyright -- REVIEWERS -- Preface -- Acknowledgments -- Contents -- Summary -- INTRODUCTION -- THE LABORATORY INDUSTRY -- THE CURRENT MEDICARE PAYMENT SYSTEM -- GOALS FOR A PAYMENT SYSTEM -- ASSESSMENT OF THE CURRENT MEDICARE PAYMENT SYSTEM -- RECOMMENDATIONS -- CONCLUSION -- REFERENCES -- 1 Introduction -- ORIGINS OF THIS STUDY -- STATEMENT OF TASK -- THE IOM STUDY PROCESS -- GOALS FOR A PAYMENT SYSTEM -- CLINICAL LABORATORY SERVICES COVERED BY MEDICARE -- THE MEDICARE PROGRAM -- What Types of Laboratory Services Are Included in the Medicare Laboratory Fee Schedule? -- ORGANIZATION OF THE REPORT -- REFERENCES -- 2 Background and Environmental Trends -- BACKGROUND ON THE CLINICAL LABORATORY INDUSTRY -- Sites of Service -- Geographic Distribution -- Size and Distribution of the Market -- Trends in Expenditures for Laboratory Services -- Financial Strength of the Laboratory Industry -- MEDICARE PART B CLINICAL LABORATORY TRENDS -- Medicare Part B Spending -- ENVIRONMENTAL TRENDS -- Regulatory Trends -- Clinical Laboratory Improvement Amendments of 1988 -- Test Complexity and Laboratory Certification -- CLIA's Impact on the Laboratory Industry -- CLIA's Impact on Quality -- Occupational Safety and Health Administration -- MINIMIZING FRAUD, WASTE, AND ABUSE -- Stark Amendments -- OIG Investigations -- Medical Necessity Review -- PAYMENT TRENDS -- Medicare Shift to Prospective Payment Systems -- Growth of Managed Care -- RESPONSE FROM THE INDUSTRY TO ENVIRONMENTAL TRENDS -- Market Consolidation and Network Development -- Growth of Hospital-Based Laboratory Outreach Programs -- SUMMARY -- REFERENCES -- 3 Technology Trends in the Clinical Laboratory Industry -- AUTOMATION -- Preanalytic Stage -- Analytic Stage -- Postanalytic Stage -- INFORMATION TECHNOLOGY -- LABORATORY MEASUREMENT AND TESTING TECHNOLOGY.
Esoteric Tests -- Genetic Testing -- Pharmacogenomics -- Nanotechnology -- TECHNOLOGY'S EFFECT ON SITE OF SERVICE -- Point-of-Care Testing -- Home Testing -- EFFECT ON CLINICAL LABORATORY STAFF REQUIREMENTS -- SUMMARY -- REFERENCES -- 4 Description of the Current Medicare Payment System and Its Historical Roots -- INTRODUCTION -- THE FDA APPROVAL PROCESS -- CODING POLICY -- Coding Updates -- Panel Codes -- Codes for New Technology -- Ambiguities in Code Use -- CLAIMS PROCESSING -- MEDICARE COVERAGE POLICY -- National Coverage Decisions -- Local Medical Review Policy -- Claims Denials -- Advanced Beneficiary Notice -- Negotiated Rulemaking -- MEDICARE PAYMENT POLICY -- Early History of the Payment System -- DEVELOPMENT OF THE CURRENT SYSTEM -- ELEMENTS OF A PAYMENT SYSTEM -- Type of Payment -- Unit of Payment -- Basis of Payment -- Level of Payment -- Panel Tests -- Congressionally Set Test Payment Levels -- Fee Level for New Technology -- Updating Payments -- Adjustments -- Geographic Adjustment -- Sole Community Hospital Adjustment -- Base-Fee Adjustment -- Inherent Reasonableness -- Cost Sharing -- EFFECT OF LABORATORY SPENDING ON PHYSICIAN PAYMENT -- CONCLUSION -- REFERENCES -- 5 The Current System: How Well Does It Work? -- BENEFICIARY ACCESS -- FLEXIBILITY -- TRANSPARENCY -- VALUE -- ADMINISTRATIVE SIMPLICITY AND EFFICIENCY -- OTHER ISSUES OF CONCERN -- Improving the Quality and Appropriate Use of Laboratory Services -- Coding Process for Outpatient Laboratory Tests -- Fraud, Waste, and Abuse -- CONCLUSION -- REFERENCES -- 6 Alternative Payment Methodologies -- INTRODUCTION -- ELEMENTS OF A PAYMENT SYSTEM -- Type of Payment -- Definition -- Discussion -- Comparative Assessment -- Unit of Payment -- Definition -- Discussion -- Comparative Assessment -- Basis of Payment -- Definition -- Discussion -- Level of Payment -- Definition -- Discussion. OTHER ISSUES IN PAYMENT SYSTEMS -- Updating Payments -- Adjustments -- Cost Sharing -- MAKING IMPROVEMENTS A REALITY -- Designing Payment Policies -- Implementing New Payment Policies -- CONCLUSION -- REFERENCES -- 7 Recommendations -- INTRODUCTION -- CONCLUSION -- REFERENCES -- Acronyms and Glossary -- ACRONYMS -- GLOSSARY -- APPENDIX A Acknowledgments -- APPENDIX B Medicare Clinical Laboratory Payments: The National Limitation Amount and Its Relationship to Payment Amounts -- APPENDIX C Study of Fees and Payment System Characteristics for Clinical Laboratory Services -- EXECUTIVE SUMMARY -- Study Methodology -- Study Findings -- STUDY OBJECTIVES AND DESCRIPTION OF STUDY METHODOLOGY -- Background and Study Objectives -- Payment Rate Determination Methodology -- Selection of Payers -- Selection of Clinical Laboratory Services -- Additional Information Included in the Survey -- CLINICAL LABORATORY PAYMENT RATES -- Introduction -- Clinical Laboratory Fee Data -- Clinical Laboratory Capitation Data -- Comparison of Fees -- CHARACTERISTICS OF LABORATORY SERVICE PAYMENT SYSTEMS -- Survey Approach -- Laboratory Payment System Characteristics -- REFERENCES -- EXHIBIT C.1: SURVEY INSTRUMENT FOR STUDY OF PAYMENT RATES FOR LABORATORY SERVICES -- Section I. Background and General Description of Laboratory Payment Methodologies -- Section II. Fee-for-Service Plans -- Section III. Capitated Plans -- Section IV. Additional Comments -- APPENDIX D Annual Volume of Laboratory Tests by Laboratory Type and Waived-Nonwaived Test Status, 1996-1998, 1999-Early 2000 -- APPENDIX E 1998 Medicare Carrier Denial Rates -- APPENDIX F Committee Biographies. |
| Record Nr. | UNINA-9910810847203321 |
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Dianne Miller Wolman
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| Washington, DC, USA, : National Academies Press, 2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Telemedicine for the Medicare population : update
| Telemedicine for the Medicare population : update |
| Autore | Hersh William R |
| Pubbl/distr/stampa | [Place of publication not identified], : AHRQuality, 2006 |
| Descrizione fisica | 1 online resource |
| Disciplina | 362.1/028 |
| Collana | Evidence report/technology assessment Telemedicine for the medicare population |
| Soggetto topico |
Health Care Quality, Access, and Evaluation
Investigative Techniques Clinical Medicine Insurance, Health Medicine Health Services Administration Legislation as Topic Telecommunications Delivery of Health Care Evidence-Based Practice Medical Assistance Health Care Evaluation Mechanisms Social Control, Formal Insurance Patient Care Management Health Occupations Health Care Diagnostic Techniques and Procedures Public Assistance Communications Media Financing, Organized Health Care Economics and Organizations Information Science Financing, Government Economics Evaluation Studies as Topic Evidence-Based Medicine Quality of Health Care Telemedicine Medicare Health & Biological Sciences Medicine - General |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910698292803321 |
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Hersh William R
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| [Place of publication not identified], : AHRQuality, 2006 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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TRICARE applied behavior analysis (ABA) benefit : comparison with Medicaid and commercial benefits
| TRICARE applied behavior analysis (ABA) benefit : comparison with Medicaid and commercial benefits |
| Autore | Maglione Margaret |
| Pubbl/distr/stampa | [Place of publication not identified], : Rand Corporation, 2016 |
| Disciplina | 618.92/85882 |
| Soggetto topico |
Medicaid
Insurance Coverage Behavior Therapy Insurance Benefits Child Age Groups Legislation as Topic Psychotherapy Medical Assistance Insurance Financing, Organized Public Assistance Behavioral Disciplines and Activities Social Control, Formal Persons Economics Health Care Economics and Organizations Financing, Government Psychology Names Health Care Pediatrics Medicine Health & Biological Sciences |
| ISBN | 0-8330-9441-6 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | TRICARE Applied Behavior Analysis |
| Record Nr. | UNINA-9910220075603321 |
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Maglione Margaret
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| [Place of publication not identified], : Rand Corporation, 2016 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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